Understanding older adults' medication decision making and behavior: A study on over-the-counter (OTC) anticholinergic medications.
Understanding older adults' medication decision making and behavior: A study on over-the-counter (OTC) anticholinergic medications.
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DOI：
10.1016/j.sapharm.2018.03.002
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发表时间：
2019-01
期刊：
影响因子：
--
通讯作者：
IU Brain Health Patient Safety Laboratory
中科院分区：
文献类型：
--
作者：
Holden RJ;Srinivas P;Campbell NL;Clark DO;Bodke KS;Hong Y;Boustani MA;Ferguson D;Callahan CM;IU Brain Health Patient Safety Laboratory
老年人购买和使用非处方（OTC）药物，可能会产生严重的不良反应。一些OTC药物，如具有抗胆碱能作用的药物，由于有证据表明认知受损和其他不良反应，相对禁忌老年人使用。为了为老年人未来OTC药物安全干预措施的设计提供信息，本研究调查了消费者与OTC药物购买和使用相关的决策和行为，重点是OTC抗胆碱能药物。本研究采用横断面设计，采用多种方法。共有84名成年人参加了定性研究访谈（n = 24），店内购物者观察（n = 39），和实验室为基础的模拟OTC购物任务（n = 21）。模拟购物参与者还对八个因素对OTC决策的重要性进行了排序。研究结果显示，许多参与者普遍担心药物不良反应，但不知道与使用抗胆碱能药物相关的年龄相关风险。分析产生了OTC相关行为和决策的工作流程图以及相关障碍，例如难以定位药物或将其与替代品进行比较。参与者报告有效性，不良反应或健康风险，以及价格对他们的OTC药物购买和使用决策最重要。人物角色分析确定了两种类型的消费者：习惯追随者，他们经常购买OTC药物并认为它们是安全的;和审议者，他们更有可能权衡自己的选择并考虑OTC药物的替代品。非处方药购买和使用的概念模型。借鉴研究结果和行为理论，该模型描述了OTC药物决策的双重过程-基于习惯和基于审议-以及决策的前因和后果。该模型提出了几个设计方向，以消费者为导向的干预措施，以促进非处方药的安全性。
Older adults purchase and use over-the-counter (OTC) medications with potentially significant adverse effects. Some OTC medications, such as those with anticholinergic effects, are relatively contraindicated for use by older adults due to evidence of impaired cognition and other adverse effects. To inform the design of future OTC medication safety interventions for older adults, this study investigated consumers’ decision making and behavior related to OTC medication purchasing and use, with a focus on OTC anticholinergic medications. The study had a cross-sectional design with multiple methods. A total of 84 adults participated in qualitative research interviews (n = 24), in-store shopper observations (n = 39), and laboratory-based simulated OTC shopping tasks (n = 21). Simulated shopping participants also rank-ordered eight factors on their importance for OTC decision making. Findings revealed that many participants had concerns about medication adverse effects, generally, but were not aware of age-related risk associated with the use of anticholinergic medications. Analyses produced a map of the workflow of OTC-related behavior and decision making as well as related barriers such as difficulty locating medications or comparing them to an alternative. Participants reported effectiveness, adverse effects or health risks, and price as most important to their OTC medication purchase and use decisions. A persona analysis identified two types of consumers: the habit follower, who frequently purchased OTC medications and considered them safe; and the deliberator, who was more likely to weigh their options and consider alternatives to OTC medications. A conceptual model of OTC medication purchase and use is presented. Drawing on study findings and behavioral theories, the model depicts dual processes for OTC medication decision making – habit-based and deliberation-based – as well as the antecedents and consequences of decision making. This model suggests several design directions for consumer-oriented interventions to promote OTC medication safety.
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DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
影响因子：
2.8
作者：
FEINBERG, M
通讯作者：
FEINBERG, M
DOI：
10.1016/j.jalz.2012.02.005
发表时间：
2013-07
期刊：
Alzheimer's & dementia : the journal of the Alzheimer's Association
影响因子：
--
作者：
Cai X;Campbell N;Khan B;Callahan C;Boustani M
通讯作者：
Boustani M
影响因子：
4.1
作者：
Campbell NL;Perkins AJ;Bradt P;Perk S;Wielage RC;Boustani MA;Ng DB
通讯作者：
Ng DB
影响因子：
5.4
作者：
Eaves, Emery R.
通讯作者：
Eaves, Emery R.